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5 Healthcare Payer Pain Points What Are Your Pain …

WebIn addition to this BHM offers a wide breadth of services including healthcare transformation assistance, strategic planning and organizational analysis, accreditation consulting, …

Actived: 9 days ago

URL: https://bhmpc.com/2014/06/5-healthcare-payer-pain-points-pain-points/

Understanding RVUs Medicare Reimbursement

WebRVU stands for Relative Value Unit and is currently used by Medicare to determine the amount of reimbursement to providers. RVUs are basically a way of standardizing and …

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Elevating Care: The Role of Clinical Documentation Improvement

WebClinical documentation improvement is a vital process that elevates patient care, ensures compliance, optimizes reimbursement and contributes to the overall efficiency and …

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Defining Healthcare Value

WebHistorically, healthcare value has always been defined in healthcare as the intersection between the highest quality care available for the lowest possible cost. Essentially, value …

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Revolutionizing Healthcare: The Role of Informatics

WebHealthcare informatics, also known as health informatics or medical informatics, is the intersection of healthcare, computer science, and information technology. It involves the …

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The Drive for Healthcare Quality and Pay for Performance

WebThe Health Resources and Services Administration (HRSA), describes pay-for-performance as a system in which “providers are compensated by payers for meeting certain pre …

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Why You Need A Quality Improvement Program

WebOrganizations that implement Quality Improvement Programs typically experience a range of benefits: Improved patient health (clinical) outcomes that involve both process outcomes …

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Ensuring Healthcare Compliance: Navigating the Complexities

WebHealthcare compliance is a critical aspect of the healthcare industry, ensuring adherence to federal healthcare laws and regulations. It plays a vital role in preventing fraud, abuse, …

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Infographic: History of Healthcare Informatics

WebIt’s his work that laid the groundwork for major informatic milestones throughout the next few decades up until the present day. Check out the infographic below from Adelphi …

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A Humorous Look at Healthcare Reform Through Cartoons

WebFeaturing more than 200 examples of the century’s best political art, a new history of healthcare reform provides an entertaining review of 100 years of partisan wrangling …

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A Payer’s Guide to Case Management Utilization Review

WebCase Management Utilization Review is a pivotal process in the healthcare sector, aimed at evaluating and ensuring the necessity, appropriateness, and efficiency of healthcare …

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Level of Care Tools Comparing Level of Care Assessment

WebChild and Adolescent Level of Care Utilization System (CALOCUS ®) uses 7 levels of care to categorize the intensity of patients, interestingly enough starting at level 0: Level 0: …

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Managed Care Organizations Why Data Matters

WebMedical Officers- Data points allow the Medical Officers of a Managed Care Organization to gain a global understanding of clinical productivity, and develop truly data driven care …

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3 Trends to Watch in Healthcare Information Management

WebHere are three trends that are being implemented. 1. Electronic Health Records. In an effort to better facilitate communication among medical professionals and allow access to the …

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What is IRO: Understanding Independent Review Organizations

WebIRO Definition: IRO is an acronym which stands for Independent Review Organization. Independent Review Organizations (IROs) are entities that conduct independent external …

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The Big Five Healthcare Accreditation Organizations – Side by …

WebBHM Healthcare Solutions has achieved a 100% success rate for client accreditation, find out how we can assist you: Email: [email protected] Web: www.bhmpc.com Phone: …

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Managed Care Organizations Sweeping the Nation: Top 10 MCOs

WebPayers, Insurance companies, Providers, Health Systems, Clinics, Hospitals, and more turn to BHM.

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